Hip transposition as a limb salvage procedure following the resection of periacetabular tumors

Journal of Surgical Oncology - Tập 103 Số 3 - Trang 269-275 - 2011
Carsten Gebert1,2, Martin Weßling1,2, Christiane Hoffmann1, Robert Rödl1, Winfried Winkelmann1, Georg Gosheger1, Jendrik Hardes1
1Department of Orthopaedic Surgery, University Hospital Muenster, Muenster, Germany
2Department of Tumor and Revision Surgery, Orthopaedic Hospital Volmarstein, Wetter, Germany

Tóm tắt

AbstractBackground and ObjectivesOne of the most difficult problems in tumor surgery is the treatment of pelvic tumors, particularly those in the periacetabular region. This retrospective study serves to analyze clinical and functional outcome of the new surgical technique of hip transposition.Patients and MethodsSixty‐two patients were analyzed (chondrosarcoma 15, Ewing's sarcoma or PNET 26, osteosarcoma 14, synovial cell sarcoma 2, others 5) and clinical, oncological, and functional outcome were evaluated.ResultsThe surgical procedure focused on hip transpositions Type I (n = 9), Type IIa using the MUTARS® attachment tube (n = 36), and Type IIb using the MUTARS® attachment tube with a proximal femur endoprosthesis and bipolar cup (n = 17). In 53 patients (85.5%), wide margins were achieved.The 1‐ and 5‐year overall survival rates were 96.4% and 80.5%, respectively. The 5‐year (10 years) overall survival was 82.1% (82.1%) for Ewing's sarcoma, 60.1% (40.6%) for osteosarcoma, and 92.3% (46.2%) for chondrosarcoma. Wound healing problems were observed in 14 cases, deep infection in 20 cases. The mean Musculoskeletal Tumor Society (MSTS) score was 62% (18.6 Pts ± 3.73).ConclusionHip transposition can be considered as an easy and safe surgical procedure to employ in order to achieve good functional outcome in periacetabular tumors. J. Surg. Oncol. 2011; 103:269–275. © 2010 Wiley‐Liss, Inc.

Từ khóa


Tài liệu tham khảo

10.1302/0301-620X.79B5.6749

10.2106/00004623-197860060-00002

Gradinger R, 1993, Partial endoprosthetic reconstruction of the pelvis in malignant tumors, Orthopade, 22, 167

10.1007/s00402-003-0543-7

10.1302/0301-620X.81B5.9241

10.3109/17453679609002326

10.1097/00003086-200203000-00030

10.1200/JCO.2003.01.142

Kawai A, 1998, Osteosarcoma of the pelvis. Oncologic results of 40 patients, Clin Orthop Relat Res, 196

10.1002/(SICI)1097-0142(19980301)82:5<851::AID-CNCR8>3.0.CO;2-M

Shin KH, 1994, Oncologic outcomes of primary bone sarcomas of the pelvis, Clin Orthop Relat Res, 207

10.1007/s00132-003-0551-x

10.1002/jso.10316

10.2106/00004623-199711000-00008

10.1097/00003086-200107000-00025

10.1302/0301-620X.87B2.15325

10.1007/s002640050070

10.1097/01.blo.0000057791.10364.7c

10.1097/00003086-200107000-00025

10.1097/00003086-200109000-00022

10.1097/00003086-200209000-00022

10.2106/00004623-198971040-00002

10.1016/S0883-5403(08)80022-8

10.2106/00004623-199274030-00003

10.1097/PRS.0b013e3181c2a607

Apffelstaedt JP, 1995, Partial and complete internal hemipelvectomy: Complications and long‐term follow‐up, J Am Coll Surg, 181, 43

10.1007/BF00435417

10.1002/jso.21442

10.2106/JBJS.D.02488

10.1002/1097-0142(19810301)47:5<1005::AID-CNCR2820470532>3.0.CO;2-9

10.1002/jso.21212

10.1016/j.clinbiomech.2009.01.008

10.1097/00003086-198603000-00003

10.1007/978-1-4615-3518-8_32

10.2165/00128072-200103120-00003

10.1200/JCO.1999.17.12.3706

Dunham WK:, 1987, Limb salvage in musculoskeletal oncology, 170

Enneking1 WF, 1993, A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system, Clin Orthop Relat Res, 241

10.1007/BF00540024

Winkelmann WW:, 1996, Rotationplasty, Orthop Clin North Am, 27, 503, 10.1016/S0030-5898(20)32096-4

10.1097/01.blo.0000081933.75404.f8

Ozaki T, 1992, Gadolinium‐DTPA enhanced magnetic resonance imaging of bone and soft tissue sarcomas in comparison with pathological findings, Acta Med Okayama, 46, 471

Gradinger R, 1991, Pelvic osteosarcoma. Resection, reconstruction, local control, and survival statistics, Clin Orthop Relat Res, 149

10.2214/ajr.163.5.7976895

10.1002/cncr.20959

10.1002/jso.10256

10.1200/JCO.2002.20.3.776

Aboulafia AJ, 1995, Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors, Clin Orthop Relat Res, 203

Enneking WF, 1993, A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system, Clin Orthop Relat Res, 241

10.1097/PRS.0b013e3181c2a607

10.1302/0301-620X.72B3.2341454

10.1001/archsurg.1988.01400330097015

10.2106/00004623-199903000-00003

10.1002/(SICI)1097-0142(19960815)78:4<745::AID-CNCR9>3.0.CO;2-D

10.1002/cncr.11076

10.1097/00003086-200509000-00009

10.1007/s004020050041

Takami M, 1997, Functional evaluation of flail hip joint after periacetabular resection of the pelvis, Osaka City Med J, 43, 173

10.1002/jso.21498

Salzer‐Kuntschik M, 1983, Determination of the degree of morphological regression following chemotherapy in malignant bone tumors, Pathologe, 4, 135

10.1007/BF00625047

Thông tin
Thông tin xuất bản

Journal of Surgical Oncology

Tập 103 Số 3

269-275

Thông tin tác giả